Healthcare Provider Details

I. General information

NPI: 1801406079
Provider Name (Legal Business Name): ALLISON BOYCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 2ND ST
LAS CRUCES NM
88005-2468
US

IV. Provider business mailing address

603 2ND ST
LAS CRUCES NM
88005-2468
US

V. Phone/Fax

Practice location:
  • Phone: 575-644-4954
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2025-0604
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: